TY - JOUR
T1 - Iatrogenic cataract after laser-assisted in situ keratomileusis
AU - Nakamura, Kunihiko
AU - Bissen-Miyajima, Hiroko
AU - Arai, Hiroyuki
AU - Toda, Ikuko
AU - Hori, Yoshiko
AU - Shimmura, Shigeto
AU - Tsubota, Kazuo
PY - 1999/10
Y1 - 1999/10
N2 - PURPOSE: To report a case of corneal opacity and iatrogenic cataract after laser-assisted in situ keratomileusis.METHOD: Case report. A 44-year-old man was initially seen with a traumatic cataract, corneal stromal opacity, and defect of the endothelium in the right eye after laser-assisted in situ keratomileusis performed by a plastic surgeon who had no ophthalmologic training.RESULTS: It was speculated that repeated ablations resulted in corneal perforation. We immediately performed phacoemulisification to remove the cataract and to prevent phacolytic glaucoma. However, visual acuity remained 20/200 because of the corneal stromal opacity, and penetrating keratoplasty was performed 2 months later, which improved best-corrected visual acuity to 20/30.CONCLUSIONS: This case demonstrated that laser-assisted in situ keratomileusis can cause devastating damage to the eye. Copyright (C) 1999 Elsevier Science Inc.
AB - PURPOSE: To report a case of corneal opacity and iatrogenic cataract after laser-assisted in situ keratomileusis.METHOD: Case report. A 44-year-old man was initially seen with a traumatic cataract, corneal stromal opacity, and defect of the endothelium in the right eye after laser-assisted in situ keratomileusis performed by a plastic surgeon who had no ophthalmologic training.RESULTS: It was speculated that repeated ablations resulted in corneal perforation. We immediately performed phacoemulisification to remove the cataract and to prevent phacolytic glaucoma. However, visual acuity remained 20/200 because of the corneal stromal opacity, and penetrating keratoplasty was performed 2 months later, which improved best-corrected visual acuity to 20/30.CONCLUSIONS: This case demonstrated that laser-assisted in situ keratomileusis can cause devastating damage to the eye. Copyright (C) 1999 Elsevier Science Inc.
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U2 - 10.1016/S0002-9394(99)00193-2
DO - 10.1016/S0002-9394(99)00193-2
M3 - Article
C2 - 10577595
AN - SCOPUS:0032834246
SN - 0002-9394
VL - 128
SP - 507
EP - 509
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 4
ER -